One month ago I spent a week in detox after being admitted to ICU for a very high BAC level. I have been taking Campral and had been taking Naltrexone as well to reduce cravings. Upon researching and finding TSM I stopped the Naltrexone. I have been abstinent for 1 month because I was told in detox that I could never have a drink again without it being considered a relapse. I very much enjoy red wine and would like to be able to indulge in a glass or two over the holidays. Should I take the pill one hour before consuming alcohol so I can enjoy some wine? Is there anything I should be cognizant of given the fact I have been abstinent for one month?

There has been some research that suggests starting TSM after a period of abstinence helps the extinction process move more quickly.

Taking Naltrexone an hour before you drink is a good idea. For many of the people who try it, it significantly reduces harm related to drinking.

You are on very thin ice given your history and I suggest not rushing into anything.

I can tell you, being someone who also did 30+ days of abstinence and then decided to take Nal and take 1 drink....the Nal doesn't eliminate the craving; if you take one drink there is will power involved. However the Nal does seem to reduce the craving and enjoyment of the one drink. I have been able to stop at one drink thru determination that I'm not going to fall off the wagon again.

Like what I understand about your situation, I was not cured w/ Nal before going on my AF run....so I still have a long way to go (I believe) for Nal to work the extinction process for me....For one reason, I'm only allowing myself to drink 1 glass of wine every week or two.

IF you decide to try a glass of wine be absolutely sure you take 50mg of Nal an hour beforehand and only have one glass. Being a binge drinker, you're on a very slippery slope. My recommendation is to err on the side of caution.